Background: Brucellosis is an infectious zoonotic disease. In the Sub-Saharan Africa, where the prevalence of brucellosis is not clear and the disease has been reported in most parts of Africa including Eritrea. To this date, the level of knowledge and brucellosis status in the livestock owners’ of Northern Red Sea region, Eritrea, was unknown. Therefore, the objective of this study was to evaluate the level of knowledge and practice, and determine the prevalence of brucellosis in livestock owners in the Northern Red Sea region, Eritrea.Methods: It was a descriptive community-based cross-sectional study where villages and households were selected by simple random sampling and systematic random sampling respectively. A total of twenty-nine villages and 22 livestock owners from each village were selected randomly. Blood samples were screened using Rose Bengal plate test and positives further confirmed using competitive enzyme linked immunosorbent assay techniques. Predesigned structured questionnaire was used as data collection tool. A written informed consent was obtained from each study participants. Data were entered into CSPro and analyzed by SPSS software. Results were presented in percent and frequencies.Results: A total of 637 respondents were enrolled in the study with a mean age of 42.96. Respondents were dominated by males (74.9%) and Tigre (73%) in ethnicity. Majority of them were illiterate (55.5%) and 70.5% were farmers. The overall sero-prevalence of brucellosis in the selected community was found to be 1.8% with the highest prevalence in Gindae (3.9%) followed by Shieb (3.6%) subregion. The comprehensive good knowledge and practice was rated as 58.4% and 10.5% respectively. A significant association was also shown with age, ethnicity, religion, level of education, occupation and subregions of the respondents (p <0.001). Conclusion: The overall sero-prevalence of brucellosis in the livestock owners in the study region was generally low. However, they had lower level of knowledge and very poor practice. Their level of knowledge and practice showed significant association with their age, ethnicity, level of education and sub-regions. Increasing community awareness, introducing Brucella vaccination to animals and strict controlling of selling of unpasteurized milk to the consumers are highly recommended.
Background: Hypertension and diabetes are key determinants of cardiovascular risks. The objective of this study was to calculate 10-year incidence of cardiovascular risk, determine cardiovascular risk factors, and evaluate how diabetes and hypertension are controlled in patients in Massawa Hospital, Eritrea. Methods: This was a hospital-based cross-sectional study using census sampling. A checklist and interview were used as data-collection tool from October 10 to November 20, 2020. Written consent was obtained from each study participant before starting the study. Descriptive statistics were wasused, and results are presented in percentages in tables, p<0.05 was considered significant. Results: A total of 600 patients were enrolled in the study, dominated by the Tigrigna (58.7%) and Tigre (26.7%) ethnic groups. About half the patients (58.8%) had a body-mass index of 18-25 kg/m 2 , with abdominal circumference of <95 cm (74%). Most (93.5%) patients had <10% risk of cardiovascular complications in the coming 10 years. Age showed significant association with hypertension, diabetes mellitus, cardiovascular risk, and poor glycemic and blood-pressure control (p<0.001). Body-mass index, abdominal obesity, and history of stroke were associated with hypertension and diabetes mellitus (p<0.001). Moreover, smoking, hypertension, and monthly income were associated with higher cardiovascular risk (p<0.001). In addition, hypertension and abdominal obesity were associated with glycemic control (p<0.001), and blood-pressure control was significantly associated with diabetes and hypertension (p<0.001). Conclusion:Age and hypertension were associated with diabetes, cardiovascular risk and poor glycemic control, and smoking, abdominal obesity, and monthly income also significant associations with higher cardiovascular risk and glycemic control. Cessation and adjustment of modifiable factors, such as smoking, hypertension, and regular exercise are highly recommended.
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